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Individual

DR. COLIN MATTHEW KENNY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
36475 FIVE MILE RD, ST. MARY MERCY HOSPITAL, LIVONIA, MI 48154
(515) 203-5731
Mailing address
210 OLEANDER AVE, CORPUS CHRISTI, TX 78404-1731
(515) 203-5731

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q5004
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/04/2012
Last updated
01/08/2018
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